If you went in your records for review and heard from a nurse, we were providing the interpretation of the doctor. It is difficult for someone to provide an interpretation here based only on the tubal lengths listed on the pathology report. The entire record (op note and path report) are important for a thorough review. In the case of fimbriectomy - as determined from the reports - an HSG is recommended (or screening laparoscopy) to accurately determine the amount of tube remaining and - more specifically - whether any of the ampullary segment of the tube remains.
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Shajos- Julia is right.... I had a fimbriectomy as well and opted to have an HSG BEFORE deciding for sure that I was going to go through with the TR, just in case there wasn't enough tube left. Our tube lengths vary a little woman to woman and then, you don't know just how much your operating Dr considered the "fimbrial end". Even with the HSG, Dr B looked at the films and was pretty sure there wasn't enough left for him to repair on the right side, but he could repair the left... Once I got to CH and he was in there though, he took a look at the right side and was infact able to repair it. I came out of surgery with 5cm on the left and 2cm on the left. God gave him a gift, but even with technology, nothing is set in stone untl he see's you... I hope this helps a little.
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I have sent my TL report I think a couple of months ago and was told it could be done by a nurse,but i would like more info from DR M or DR B about what they think my chances are.He only removed 2.5 cm and 3 cm and the frimbiated ends.How long are your tubes and how much am i left with.Thank You
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Fimbriectomy is the one instance BEFORE undergoing reversal surgery when hysterosalpingogram (HSG) is helpful. HSG testing can give accurate information about the length of tube remaining and whether salpingostomy is a good option or whether IVF might be better. If at least half the normal tubal remains, there should be adequate length for the repaired tube to pick up the released egg from the ovary.
Although pregnancy rates are lower with repair of a fimbriectomy by salpingostomy, we have seen pregnancy rates between 30 - 40%, which is still higher than through IVF.
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Thank you so much for the response i really want to have a TR but i am scared it will not work .I am going back and forth on what to do if i should try the TR or go with IVF.Well again thank you!!!!
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Shajos all I can do is tell you about myself. I had 2-3 cm removed from each side. After my TR I now have R-3.0 and L-2.5. So please like the others said send in your report for them to view it. I was told the same thing but Dr.B was able to do my TR. I wish you all the best. Miranda
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This type of tubal can be reversed. We reverse fimbriectmomy with a fimbriectomy reversal ( microsurgical salpingostomy ) procedure.
The success rates of fimbrectomy reversal (40-50%)may not be quite as high as tubotubal anastamosis( the typical type of reversal) 70%, but you have a chance to become pregnant on your own.
We let each patient decide for themselves what precentage of success means to them. We have had patients with salpingostomy procedures become pregnant.
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Shajos, The best way for Dr. Berger and Dr. Monteith to evaluate your individual chances for a successful tubal reversal is to send us your operative report, plus any pathology report. A nurse will get back to you after we receive these reports and discuss everything with you. Martha S.
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I was wondering if there has been any success with this type of reversals? My report says he did a Bilateral Partial Salpingectomy,it say he removed 2.5 cm in length on one and 3 cm in length on the other but it includes the fimbriated ends.Please help me i need to know because i have spoken to a couple of docs and they say no way,but i hope some how there is a way i was 21 when i had my TL.
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